| NPI | 1356800973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012894) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28249759A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71008901A) | |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2022-09-16 |