| NPI | 1942480785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002507A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28132041A) |
| 363L00000X Nurse Practitioner (Licence: IN 71002507A) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2022-10-14 |