| NPI | 1942615703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005041A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009209) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28162047A) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-02-16 |