| NPI | 1124396072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003896A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28125285A) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2012-11-27 |