| NPI | 1497165534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006033A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013836) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2024-12-11 |