| NPI | 1114363009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP8633) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004446A) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2021-07-09 |