| NPI | 1346653359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020580) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28175236A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71004944A) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2022-09-13 |