| NPI | 1386287548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 28213447A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN F09190657) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |