| NPI | 1285881680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002803) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28090654) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2022-01-14 |