| NPI | 1295519791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4010954) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014365A) |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2026-01-21 |