| NPI | 1891225520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5012700) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3011365) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007957A) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |