| NPI | 1568821718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006075A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006075B) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |