| NPI | 1184388142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011932A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3016856) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2024-10-10 |