| NPI | 1770187031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN300530) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28205188A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71010627A) | |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2023-01-04 |