| NPI | 1295337541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28228168A) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-12-11 |