| NPI | 1427594142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006901A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA rn224359) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-02-22 |