| NPI | 1659345239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001559A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN260019) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71001559A) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2023-07-05 |