| NPI | 1730623604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71006755A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3010177) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2021-02-01 |