| NPI | 1679636344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002304A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 1224618) |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2022-04-11 |