| NPI | 1053012021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014709A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28246205A) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2024-01-11 |