| NPI | 1184142721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71007418A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28172954) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2024-11-06 |