| NPI | 1063997146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014490) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008684A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71008684A) | |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2023-12-08 |