| NPI | 1134677800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006686A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28207210A) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2017-01-25 |