| NPI | 1740477223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005394) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003127A) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2014-08-26 |