| NPI | 1952135162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906822) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 230794) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 36711) | |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2025-01-22 |