| NPI | 1174285233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4001257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011690A) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2023-06-13 |