| NPI | 1497298996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71017332A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016032502) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2025-12-09 |