| NPI | 1316019748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002795A) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-12-08 |