| NPI | 1669474631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000185A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28114408A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71000185A) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2021-03-25 |