| NPI | 1447368899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 2822617A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN144662) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2020-09-16 |