| NPI | 1598231250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3017570) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000024682) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2022-09-06 |