| NPI | 1194855478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004795A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000007841) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3004142P) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2015-02-09 |