| NPI | 1336152214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000013326) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004589) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2021-10-29 |