| NPI | 1164754008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000014261) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2024-06-04 |