| NPI | 1083835334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71001941A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71001941A) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-05-14 |