| NPI | 1154514941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005303A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A138787) |
| 363L00000X Nurse Practitioner (Licence: IN 71005303A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN117216) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2018-03-17 |