| NPI | 1518687508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71013341A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28174169A) |
| 363L00000X Nurse Practitioner (Licence: IN 71013341A) | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-12-05 |