| NPI | 1497111991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71006394A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28177137A) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2022-03-04 |