| NPI | 1205441532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010336A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014157) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |