| NPI | 1295161933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004631B) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 3010254) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2022-10-11 |