| NPI | 1710381512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005253A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 84865) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1189417) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 84865) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2026-01-16 |