| NPI | 1083846273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1881) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IN 991188) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2015-02-26 |