| NPI | 1780927129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17537) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170726) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP08741) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 904604) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2023-01-04 |