| NPI | 1215237565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003427A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 71003427A) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2024-02-27 |