| NPI | 1992362982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013025) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: KY 3013025) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2023-11-02 |