| NPI | 1669966180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008741A) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: IN 28194732A) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-01-17 |