| NPI | 1053051318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 16345) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012441A) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2025-01-23 |