| NPI | 1376042655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008208A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9312731) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2021-03-18 |