| NPI | 1922470970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006191A) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: IN 28137871A) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2016-05-11 |