| NPI | 1811568041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015972) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28215575A) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2022-02-17 |