| NPI | 1710315783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002017A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28148056A) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |