| NPI | 1457996332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015475) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009734A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2024-06-27 |