| NPI | 1164783387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004067A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013026) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2022-06-14 |