| NPI | 1528511979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012279) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006621A) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2018-04-19 |