| NPI | 1689064917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013819) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1164642) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 7100532c) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28147873C) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 7100532A) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2023-03-25 |