| NPI | 1013652346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 71012507A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71012507A) |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2024-08-29 |