| NPI | 1649887944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3015008) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71014591A) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2024-07-23 |