| NPI | 1629486790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008716) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008716) |
| 363L00000X Nurse Practitioner (Licence: IN 71005274A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005274A) | |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2024-02-15 |