| NPI | 1033702782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011062A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015830) |
| Enumeration Date | 2021-02-13 |
| Last Update Date | 2026-02-04 |