| NPI | 1144854456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012978A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014364) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2023-04-27 |