| NPI | 1629015193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 828989) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002047A) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2021-01-20 |