| NPI | 1518065515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002249A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 3861) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2009-05-07 |