| NPI | 1952704439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71006124A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 18801) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2022-05-24 |