| NPI | 1366405250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4171P) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001694A) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 4171P) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71001694A) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2021-03-22 |