| NPI | 1487006987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010352) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5017960) |
| 363L00000X Nurse Practitioner (Licence: IN 71013323A) | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2023-07-20 |