| NPI | 1639628027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2944892) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 225176) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71014599A) | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2023-12-07 |