| NPI | 1811069628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ ap2193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN132776) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2015-04-30 |