| NPI | 1952381493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001632) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 0037873) |
| 363L00000X Nurse Practitioner (Licence: OH 0037873) | |
| 363L00000X Nurse Practitioner (Licence: TN 24730) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2024-11-19 |