| NPI | 1215307848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005929A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28221995A) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2016-05-20 |