| NPI | 1003058454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002903A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28067608) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2024-12-18 |