| NPI | 1972031235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008840A) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 95006691) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2019-08-27 |