| NPI | 1205453404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9982) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 9982-33) |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71010661A) | |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2024-01-25 |