| NPI | 1629634746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71009311A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28191466A) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2020-12-11 |