| NPI | 1871915298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10399) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18382) |
| 163W00000X Registered Nurse (Licence: TN 0000174450) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005541A) | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2024-02-15 |