| NPI | 1376895409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71005558A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 073780) |
| 363L00000X Nurse Practitioner (Licence: IL 041-318278) | |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2016-09-02 |