| NPI | 1396701496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28164718A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 282803) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-05-07 |