| NPI | 1043525595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71003346A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN PENDING) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2021-01-13 |