| NPI | 1871167338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29425) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 904557) |
| 363L00000X Nurse Practitioner (Licence: IL 209022639) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 221854) | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2023-07-03 |