| NPI | 1326515701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003335) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28218228A) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2023-05-27 |