| NPI | 1902876287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3303230) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3230P) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2025-03-31 |