| NPI | 1902117716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9455190) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003202A) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71003202A) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9455190) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2023-02-27 |