| NPI | 1770535502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000959A) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: IN 71000959A) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-05-02 |