| NPI | 1346799699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007540A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016030296) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77392-061) | |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2020-05-15 |