| NPI | 1306411855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71011265A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28203332A) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2024-04-22 |