| NPI | 1851648513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007562) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9421767) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71006953A) | |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2022-07-21 |