| NPI | 1033790167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016929) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 174245) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 28019) | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2025-07-19 |