| NPI | 1083983456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71003841A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28149898A) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2023-09-20 |