| NPI | 1588111983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012420) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28198166C) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71006603A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71006603) | |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2022-08-18 |