| NPI | 1811367360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28172874A) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2022-06-09 |