| NPI | 1780157057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013055) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1117443) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2026-08-27 |