| NPI | 1114179397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002749A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002749) |
| Enumeration Date | 2008-10-19 |
| Last Update Date | 2021-02-01 |