| NPI | 1386892396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP10483) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002726B) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2021-06-23 |