| NPI | 1578802112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004328A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28202055A) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2020-07-30 |