| NPI | 1770080301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011803) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010856A) |
| 363L00000X Nurse Practitioner (Licence: IN 71010856A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3011803) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2024-04-10 |