| NPI | 1265913925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202009680NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008246A) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2021-02-19 |