| NPI | 1649749771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000126) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014100A) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2023-07-14 |