| NPI | 1194260976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 21973) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011012) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2022-08-29 |