| NPI | 1982898573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000012843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 5322P) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2023-04-20 |