| NPI | 1477705861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28186659A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13693) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2011-09-08 |