| NPI | 1831603083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY F11170313) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011921) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2021-09-23 |