| NPI | 1922334812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011462A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60272218) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2022-11-10 |