| NPI | 1811256118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 3749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71004025A) |
| 363LF0000X Nurse Practitioner Family (Licence: IN 1004025A) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2024-10-31 |