| NPI | 1710388020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24763) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902836) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP07819) | |
| Enumeration Date | 2014-09-06 |
| Last Update Date | 2018-09-20 |