| NPI | 1780884429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005531A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28130325A) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2016-07-06 |