| NPI | 1790431179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 397375) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1131912) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-28 |