| NPI | 1215412028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71008358A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 71008358A) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: IN 71008358A) | |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2023-01-12 |