| NPI | 1871526970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3004375) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3004375) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2026-01-13 |