| NPI | 1083049605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28157406A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1137290) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |