| NPI | 1235483835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004276A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F0712523) |
| Enumeration Date | 2012-11-04 |
| Last Update Date | 2022-10-03 |