| NPI | 1982201463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013954A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.022049) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2025-01-07 |