| NPI | 1437173044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002361A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4475P) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-12-08 |