| NPI | 1619917812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71000338A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71000338A) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2016-04-05 |