| NPI | 1487995858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004355A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004355A) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2018-11-05 |