| NPI | 1659827483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010383) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71013738A) |
| 363L00000X Nurse Practitioner (Licence: KY 3010383) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71013738A) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2024-05-13 |