| NPI | 1841958709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4015323) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1124253) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2025-06-30 |