| NPI | 1881288082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015848) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KY 112655) |
| Enumeration Date | 2021-02-27 |
| Last Update Date | 2021-11-03 |