| NPI | 1053555292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71002911A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002911) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71002911) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2022-02-24 |