| NPI | 1699124693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4038623) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4038623) |
| 363L00000X Nurse Practitioner (Licence: IN 71006233A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71006233B) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2026-02-02 |