| NPI | 1073021556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008072A) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: IN 28195315A) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2025-02-13 |