| NPI | 1770256703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 1114886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016129) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2025-07-29 |