| NPI | 1437882446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30689) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3017269) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3017269) | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2023-04-06 |