| NPI | 1770916926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005622A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 018909) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9288074) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2021-10-04 |