| NPI | 1841607587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009360A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3007890) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3008790) | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2019-09-26 |