| NPI | 1174690713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71000510A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71000510) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-07-14 |