| NPI | 1558714220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006600A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28192962A) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-10-05 |