| NPI | 1285199422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3013109) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008760A) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2021-11-18 |