| NPI | 1891074407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4506-033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008966A) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 450633) | |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2023-05-03 |