| NPI | 1821406067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006059A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5741) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2016-11-10 |