| NPI | 1356057145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014039A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.026838) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-08-28 |