| NPI | 1821490749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005132A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009178) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2018-05-01 |