| NPI | 1184222481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015110) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 28259) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2022-03-21 |