| NPI | 1407220866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005997A) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 28174504A) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2023-11-27 |