| NPI | 1811646540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012369A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0105727-C-NP) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2026-03-30 |