| NPI | 1508269663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28170448) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F1014913) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2016-05-12 |