| NPI | 1982327474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018402) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013624A) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2023-02-27 |