| NPI | 1932687308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3012248) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 3012248) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3012248) | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2023-08-17 |