| NPI | 1639428519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009137A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007661) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2024-10-31 |