| NPI | 1043466139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000017061) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008014) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2023-02-26 |