| NPI | 1649651043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005537A) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2021-09-22 |