| NPI | 1508338955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008707A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4007169) |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2023-08-24 |