| NPI | 1609347624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009043A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013327) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 023266) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2024-05-07 |