| NPI | 1972150837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4035710) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11003474) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003474) | |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2026-04-03 |