| NPI | 1891368981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71012541A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3016293) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-01-04 |