| NPI | 1487090312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008803A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 219102) |
| Enumeration Date | 2013-05-19 |
| Last Update Date | 2019-03-26 |