| NPI | 1013536358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009974A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4059778) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2026-06-30 |