| NPI | 1205023199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002496A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28143592A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 71002496A) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2022-06-27 |