| NPI | 1285164517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71007565A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28177134A) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-11-13 |