| NPI | 1992345201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71009686A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71009686A) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-03-14 |