| NPI | 1518243609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71003779A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28169267A) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: IN 71003779A) | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2023-03-17 |