| NPI | 1033524905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004988A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 218196887a) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-04-28 |