| NPI | 1831556141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005981A) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2024-10-01 |