| NPI | 1083113328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177685) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28160202A) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2023-07-07 |