| NPI | 1033892781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4006574) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71014216A) |
| 363L00000X Nurse Practitioner (Licence: IN 123456) | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2026-08-18 |