| NPI | 1700383023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011794) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 70104593A) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2024-03-26 |