| NPI | 1356851885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 25882) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2021-06-01 |