| NPI | 1053973875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71009808A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3013340) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2022-12-05 |