| NPI | 1568026011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71009354A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71009354A) |
| 363LF0000X Nurse Practitioner Family (Licence: TX 1118586) | |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3013949) | |
| 363LF0000X Nurse Practitioner Family (Licence: TN 34108) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2024-12-05 |