| NPI | 1629216221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002868A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002868A) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2016-02-09 |