| NPI | 1508358359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012219) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012219) |
| 363L00000X Nurse Practitioner (Licence: IN 71013325A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71013325A) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-02-19 |