| NPI | 1750631776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R217590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28154982A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71004170A) | |
| 163W00000X Registered Nurse (Licence: MD R217590) | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2015-08-26 |