| NPI | 1205820552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71005430A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209004835) |
| 363L00000X Nurse Practitioner (Licence: IN 28221087A) | |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2023-05-02 |