| NPI | 1285042754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012705A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 177085) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2022-07-13 |