| NPI | 1548512502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28121341A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004252A) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2024-02-19 |