| NPI | 1831721323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014292) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3014292) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2024-02-01 |