| NPI | 1689124141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011733) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21908) |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2024-03-27 |