| NPI | 1609407964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009723A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3014432) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2022-06-14 |