| NPI | 1598312415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013685) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013093A) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2026-04-20 |