| NPI | 1033610746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R238423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012124) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2025-01-14 |