| NPI | 1427378512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011476) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003257A) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2020-12-08 |