| NPI | 1265847495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3008714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71005490A) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2024-02-27 |