| NPI | 1083208524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN328554) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71011172A) |
| 363LF0000X Nurse Practitioner Family (Licence: IN 28238646A) | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2024-07-01 |