| NPI | 1700591468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018914) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2024-10-28 |