| NPI | 1356725717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009464) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005774A) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2020-12-04 |