| NPI | 1104167386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10573) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP10573) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71003777A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 18365-33) | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2026-07-17 |