| NPI | 1548575384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003501A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28158784A) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2023-10-17 |