| NPI | 1457078214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013211A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3018517) |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71013211A) | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2023-03-01 |