| NPI | 1417236530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003704A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28129322A) |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2022-10-20 |