| NPI | 1598218810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012015) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: IN 28223288A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28223288A) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2025-10-01 |