| NPI | 1164492732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3000474) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN5568) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2025-12-21 |