| NPI | 1669966123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008203A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY K346010) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2024-03-15 |