| NPI | 1023470465 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20999)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 161337)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: AR A005652)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 161337)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 906984)  | |
| Enumeration Date | 2016-03-24 | 
| Last Update Date | 2024-10-10 |