| NPI | 1417284878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003111A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28160519A) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2022-03-08 |