| NPI | 1093824815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN APN # 71002195) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN RN: 28142089A) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-03-23 |