| NPI | 1083348049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA A178622) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71012826A) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 11586) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2024-06-04 |