| NPI | 1184201667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012561A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015979) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2022-06-10 |