| NPI | 1639727555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009373A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013848) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2024-11-12 |