| NPI | 1073198081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015215) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012740A) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2022-08-25 |