| NPI | 1538550579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009358) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F1214605) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2017-01-26 |