| NPI | 1124493820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1055040) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005961A) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2020-01-07 |