| NPI | 1669788642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006593) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003408A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71003408A) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3006593) | |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2021-04-06 |