| NPI | 1235467481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005339A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006277) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2023-05-15 |