| NPI | 1093717233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4431P) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 16379) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2025-03-12 |