| NPI | 1972813780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003416A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71003416A) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2018-05-14 |