| NPI | 1740225820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000547A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 3005070) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-12-09 |