| NPI | 1043898661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71011079A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3015828) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2024-01-08 |