| NPI | 1992211700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 35215) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008132A) |
| 363L00000X Nurse Practitioner (Licence: KY 3011764) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3011764) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71008132A) | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2024-04-03 |