| NPI | 1366983306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71006998A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28126226A) |
| 163W00000X Registered Nurse (Licence: IL 041278361) | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-27 |