| NPI | 1912958885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004303A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005974) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-11-13 |