| NPI | 1386000479 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006077A) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28175375A) | 
| Enumeration Date | 2016-01-06 | 
| Last Update Date | 2022-06-13 |