| NPI | 1609246909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4016943) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005708A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28183707A) | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2024-04-24 |