| NPI | 1558314070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003423) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000012277) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 04797) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3423P) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209005851) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-12-08 |