| NPI | 1740677558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005890A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009301) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005890A) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2023-02-24 |