| NPI | 1831831478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018320) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: KY 1161518) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-09-07 |