| NPI | 1013665280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012665A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9474757) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-06-29 |