| NPI | 1194476218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4035393) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2025-05-15 |