| NPI | 1346631496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71005385A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28139876A) |
| 363L00000X Nurse Practitioner (Licence: IN 71005385A) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2023-05-01 |