| NPI | 1477132926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013333A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016011) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2024-02-19 |