| NPI | 1184641128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002031A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28109773A) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-09-16 |