| NPI | 1023291325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002626A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN164262) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3721) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.09714-np) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2021-08-23 |