| NPI | 1033431135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006333) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007828A) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 11342) | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2018-10-08 |