| NPI | 1508007147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002862) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28099990A) |
| 207Q00000X Family Medicine (Licence: IN 71002862A) | |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2022-07-12 |