| NPI | 1205067022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003011A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28120985) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2024-10-01 |