| NPI | 1497184386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28211998A) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2015-08-14 |