| NPI | 1063954451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009533A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005107) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2019-11-05 |