| NPI | 1093282063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012301A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60914149) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA N360922794) | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2023-10-06 |