| NPI | 1598948531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002567A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002567A) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2020-08-12 |