| NPI | 1043760424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009266A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60670633) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5009010) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2019-09-27 |