| NPI | 1326696907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3013778) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 30838) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-03-01 |