| NPI | 1184811069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71014228A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28191695A) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2023-12-20 |