| NPI | 1679013510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9404424) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007746A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007746A) | |
| Enumeration Date | 2017-02-25 |
| Last Update Date | 2020-04-24 |