| NPI | 1366528820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009152A) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: IN 28149897A) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-07-25 |