| NPI | 1396285490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011425) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 33140) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2025-04-28 |