| NPI | 1073106324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28594) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4034635) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 4034635) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 28594) | |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2025-05-15 |