| NPI | 1992057889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004233A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007708) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2021-04-27 |