| NPI | 1306148671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006695) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 6695P) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71004508A) | |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2023-12-06 |