| NPI | 1609900836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009895A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 129711) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-04-24 |