| NPI | 1225770308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4011026) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 29801) |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2024-07-24 |