| NPI | 1205227097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 198878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 2819322A) |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2023-03-20 |