| NPI | 1215240627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006514) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71011171A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71011171A) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2024-02-15 |