| NPI | 1023778123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3016799) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71014472A) |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2024-05-22 |