| NPI | 1548776925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007784A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28149266A) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2018-08-02 |