| NPI | 1174970487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013478) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006232A) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2023-09-26 |