| NPI | 1245811769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10012039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011032A) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2024-01-02 |