| NPI | 1477208338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016819) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012278A) |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2024-03-21 |