| NPI | 1528263076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001936A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP 60167721) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2021-12-27 |