| NPI | 1598067746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003535A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28169270A) |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2023-01-03 |