| NPI | 1952787251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11026146) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28147406A) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2023-08-01 |