| NPI | 1861991176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011640) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007776A) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2021-09-30 |