| NPI | 1588616726 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28110187A) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000765A) | 
| Enumeration Date | 2006-05-16 | 
| Last Update Date | 2010-11-08 |