| NPI | 1821872078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4042010) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1170458) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2025-06-16 |