| NPI | 1184637357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002155A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3440P) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-08-05 |