| NPI | 1831789080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28168625A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61627858) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2025-01-02 |