| NPI | 1396023453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003633A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007106) |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2025-03-03 |