| NPI | 1073224994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 11209200-4405) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IN 28206512A) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-23 |