| NPI | 1851643076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004189A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28189331A) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2018-08-02 |