| NPI | 1699195883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN18437) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008525) |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2019-07-31 |