| NPI | 1366951428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71007689A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28178744A) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-12-05 |