| NPI | 1063507374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71001487A) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: IN 71001487A) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-02-04 |