| NPI | 1003483157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3015886) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71012853A) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2025-07-22 |