| NPI | 1134527807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71005320A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28188953A) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2023-04-20 |