| NPI | 1942699764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005324A) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2023-11-27 |