| NPI | 1386741791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000011679) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-10-14 |