| NPI | 1902153901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60260385) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004087A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28203630A) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2021-04-30 |