| NPI | 1992024517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006348) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 3006348) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71004425A) | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2024-02-15 |