| NPI | 1023609252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71010892A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3015789) |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2022-11-01 |