| NPI | 1215334974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26952) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28192675A) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2020-04-30 |