| NPI | 1609150598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004757A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007173) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2024-02-26 |