| NPI | 1083784755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 873502) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000364A) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-07-29 |