| NPI | 1558010868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012567A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3107563) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2024-02-23 |