| NPI | 1346174018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4059634) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71018228A) |
| Enumeration Date | 2026-06-09 |
| Last Update Date | 2026-06-23 |