| NPI | 1336148352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001073A) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IN 28093863A) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2021-03-05 |