| NPI | 1255781050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010353) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007521A) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2026-02-23 |