| NPI | 1740594167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003299A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28168116A) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2019-10-22 |