| NPI | 1922773985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015031) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1153527) |
| 163W00000X Registered Nurse (Licence: IL 041493675) | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-09-08 |