| NPI | 1528562030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013385) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007851A) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-01-02 |