| NPI | 1467972083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012406A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN151660) |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2022-03-23 |