| NPI | 1932542974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006008) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007870A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3008006) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2018-10-08 |