| NPI | 1093078594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007448) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3007448) |
| 363L00000X Nurse Practitioner (Licence: IN 71005453A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005453A) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2024-02-29 |