| NPI | 1851752026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007271A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9327565) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2018-03-17 |