| NPI | 1710059266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009094) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: IN 71000103) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-10-30 |