| NPI | 1053780973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71005811A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71005811A) |
| 363LF0000X Nurse Practitioner Family (Licence: IN 28155343A) | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2024-05-01 |