| NPI | 1710275912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA 106627) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71006713A) |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP002690) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2025-12-19 |