| NPI | 1194206789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008416A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3019089) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2024-02-13 |