| NPI | 1992564702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4031780) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 234689) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 234689) | |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2025-09-24 |