| NPI | 1962719351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004404A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004404A) |
| 363L00000X Nurse Practitioner (Licence: KY 3006616) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 6616P) | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2024-01-04 |