| NPI | 1336767482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3017738) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 27133) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-08-03 |