| NPI | 1013151224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002934A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28155758A) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2020-12-31 |