| NPI | 1518509140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71010844A) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: IN 28170552A) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2021-02-12 |