| NPI | 1518297779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003218A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71003218A) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2023-05-03 |