| NPI | 1962095745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011153A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015829) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-06-11 |