| NPI | 1326542820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012154) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011333A) |
| 363L00000X Nurse Practitioner (Licence: KY 3012154) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-05-16 |