| NPI | 1073850798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004335A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28157127A) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2022-10-03 |