| NPI | 1699945899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9414659) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14108) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3005517) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2020-04-24 |