| NPI | 1609155944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003641A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006964) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2017-03-23 |