| NPI | 1326468463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 326072) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004898A) |
| 363L00000X Nurse Practitioner (Licence: WI 15851) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2025-08-15 |