| NPI | 1730844747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28216543A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3017164) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2022-11-03 |