| NPI | 1891392916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3015211) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 1136305) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: KY 3015211) | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2023-08-31 |