| NPI | 1558050047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71016024A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 11504) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2025-02-12 |