| NPI | 1083804124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71002192A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 015198521) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2023-04-07 |