| NPI | 1457303950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71000252) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: IN 71000252) |
| 363L00000X Nurse Practitioner (Licence: IN 71000252A) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-09-06 |