| NPI | 1831323278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004821A) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2017-10-18 |