| NPI | 1174813240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009694) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2025-02-11 |