| NPI | 1578546495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN6725) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2014-09-15 |