| NPI | 1306321245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009727A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024176676) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2024-03-15 |