| NPI | 1649586496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28142728A) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2022-02-24 |