| NPI | 1720437056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006303A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28171231A) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-08-07 |