| NPI | 1932676004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011043A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 1139717) | |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2023-05-04 |