| NPI | 1649654641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71005957A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3009495) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2023-02-21 |