| NPI | 1801232954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 288807) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 99057031A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209010509) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2024-10-16 |