| NPI | 1154752145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27304) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008385) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2023-09-01 |