| NPI | 1851379887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002616A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4130P) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2011-12-29 |