| NPI | 1811661499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012029) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016432) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2022-02-04 |