| NPI | 1093914632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9412735) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005171A) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2023-05-30 |