| NPI | 1396112074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71005753A) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: IN 28187097A) |
| 363L00000X Nurse Practitioner (Licence: IN 71005753A) | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2022-10-14 |