| NPI | 1033296561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 296194) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001951) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-08-19 |