| NPI | 1083268528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011206A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP142506) | |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2021-06-23 |