| NPI | 1356764476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004779A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28096845A) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2016-05-31 |