| NPI | 1356901938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009437A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013644) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2022-09-12 |