| NPI | 1235385279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001521A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017139993) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2020-07-22 |