| NPI | 1710421243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71006842A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28178782A) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2024-09-09 |