| NPI | 1245542323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 31391) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004113A) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2022-06-29 |