| NPI | 1396821724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002237A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004311) |
| 363L00000X Nurse Practitioner (Licence: NC 5004311) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2024-12-04 |