| NPI | 1710437520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006711A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN261031) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000021668) | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2020-09-14 |