| NPI | 1255648531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28162792A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71003438A) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2023-03-13 |