| NPI | 1366442782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15508) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 1068963) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-02-08 |