| NPI | 1760900039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024026248) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007973A) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2024-07-24 |