| NPI | 1033540638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004885A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28186867A) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2022-10-06 |