| NPI | 1265632566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71007687A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007687A) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2018-09-06 |