| NPI | 1104322395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008404A) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: IN 28159560A) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2019-03-30 |