| NPI | 1821636606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28191999A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1134874) |
| 363L00000X Nurse Practitioner (Licence: KY 3014096) | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2020-07-22 |