| NPI | 1760864169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71007701A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 1128381) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-01-04 |