| NPI | 1215771142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015374A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4023690) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |