| NPI | 1992589824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4010516) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: KY 1077194) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2024-05-16 |