| NPI | 1386002053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007671A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 901449) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2022-05-19 |