| NPI | 1417905241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001387A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 71001387A) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-03-06 |