| NPI | 1477325116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014498A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4008950) |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2024-08-29 |