| NPI | 1801173398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71003843A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3007229) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: IN 71003843A) | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2023-07-31 |