| NPI | 1639431968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71003977A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3007827) |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3007827) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-07-18 |