| NPI | 1992317960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008992) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017471) |
| 207Q00000X Family Medicine (Licence: FL APRN11008992) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2023-10-23 |