| NPI | 1982144242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9280196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71007719A) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2018-10-31 |