| NPI | 1386877413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71003027A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28137521A) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2012-10-11 |