| NPI | 1982969432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201704184NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004031A) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2018-03-17 |