| NPI | 1982613188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001250A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111346) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-07-15 |