| NPI | 1982852893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005690) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 32263) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2023-11-13 |