| NPI | 1922636851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016680) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014035) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-04-21 |