| NPI | 1821268137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002610A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012887) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2022-06-09 |