| NPI | 1770034936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP003132) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013412A) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP016706) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2024-04-25 |