| NPI | 1093448573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017995) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71014397A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71014397A) | |
| 363L00000X Nurse Practitioner (Licence: KY 3017995) | |
| Enumeration Date | 2022-07-02 |
| Last Update Date | 2024-02-15 |