| NPI | 1306477310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4028086) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71009769A) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2024-11-11 |