| NPI | 1225496185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006086A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010070) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-18 |