| NPI | 1871076794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71008538A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28145313A) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-11-20 |