| NPI | 1831825876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 371251) |
| 163W00000X Registered Nurse (Licence: KY 1156395) | |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2022-07-30 |