| NPI | 1669927760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22906) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010555) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2023-07-27 |