| NPI | 1891112769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004894A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28150754A) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2019-12-20 |