| NPI | 1275579963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 26019) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002070) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-12-07 |