| NPI | 1144915455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71013862A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3018117) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-05-05 |