| NPI | 1518406990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006909A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28200318A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71006909B) | |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-04-03 |