| NPI | 1447650437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006015A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001765) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2016-07-19 |