| NPI | 1396167300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017097) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006170A) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2026-01-23 |