| NPI | 1437408150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004376A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3007667) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2022-10-17 |