| NPI | 1871299149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4024489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024347) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2024-09-03 |