| NPI | 1750611521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000026334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005985) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2021-09-22 |