| NPI | 1215984299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001799A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001799A) |
| 363L00000X Nurse Practitioner (Licence: KY 3004528) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-03-21 |