| NPI | 1306940762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012319A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004949) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2022-03-01 |