| NPI | 1326447780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28150797A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005116A) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2021-12-08 |