| NPI | 1184289407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25426) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013401) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN 25426) | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2023-11-06 |