| NPI | 1306867940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71001143A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001143) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-09-17 |