| NPI | 1871968628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009872) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71012795A) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2022-09-21 |