| NPI | 1366917544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011868) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008303A) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2022-12-20 |