| NPI | 1699315531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012400A) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY F12190904) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2022-03-23 |