| NPI | 1023474681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4023481) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20843) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2024-06-30 |