| NPI | 1558826685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10025736) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008665A) |
| Enumeration Date | 2019-02-03 |
| Last Update Date | 2024-10-30 |