| NPI | 1811399736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28255909A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 34105.1344) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2022-03-07 |