| NPI | 1053778928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006729A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28112904A) |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2018-12-15 |