| NPI | 1225470925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000017713) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2016-02-03 |