| NPI | 1043838261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 28228456A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71010166A) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2022-03-01 |