| NPI | 1659693414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71002545A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002545A) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2022-05-18 |