| NPI | 1346527280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN273762) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28142488A) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2023-02-21 |