| NPI | 1710381512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005253A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1189417) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2025-06-09 |