| NPI | 1164611752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002526A) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2024-03-26 |