| NPI | 1073695268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71001620A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71001620) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-02-06 |