| NPI | 1467947267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28977) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012499) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2022-11-01 |