| NPI | 1609307743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4012374) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22446) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2026-03-04 |