| NPI | 1972563369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004278) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN06168) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2018-01-22 |