| NPI | 1326574922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007076A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011458) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2018-09-28 |