| NPI | 1568406098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001739A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN 7874) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |