| NPI | 1346819398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 29521) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-12-01 |