| NPI | 1255684031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004226) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28172248A) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2022-07-06 |