| NPI | 1982175329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012942) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KY 1110295) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2025-02-12 |