| NPI | 1508631599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4028983) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2025-05-14 |