| NPI | 1932543600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015882A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2003002250) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2024-10-18 |