| NPI | 1750877023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012441) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008335A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3012441) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2021-12-22 |