| NPI | 1215526140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015744) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011125A) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2024-04-01 |