| NPI | 1346850294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3015293) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71010346A) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2022-09-06 |