| NPI | 1578214169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11034607) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011990A) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2025-03-28 |