| NPI | 1982128526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3011580) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011580) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2021-09-27 |