| NPI | 1346941945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3018204) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71015307A) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2024-08-12 |