| NPI | 1932530524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3001912) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28098081A) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |