| NPI | 1790477628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11038858) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28251057A) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71013963A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71013963A) | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-09-14 |