| NPI | 1326378688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003169A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28112092A) |
| Enumeration Date | 2010-01-10 |
| Last Update Date | 2010-01-22 |