| NPI | 1023353174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004259A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28096838A) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2023-10-29 |