| NPI | 1992966972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3000442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28065309A) |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2016-06-27 |