| NPI | 1457162307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4034607) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28213428A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4034607) | |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-04-24 |