| NPI | 1972914026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004922A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11002235) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2023-06-01 |