| NPI | 1801123831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006313) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: KY 3006313) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2023-01-11 |