| NPI | 1518261197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006555) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 7100268660) |
| 363L00000X Nurse Practitioner (Licence: IN 71004927A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3006555) | |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2021-05-19 |