| NPI | 1700536430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013849A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020478) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2024-05-01 |