| NPI | 1841054467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4016204) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 15470) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2025-10-09 |