| NPI | 1265979108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007579) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28209345A) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2019-12-02 |