| NPI | 1053858621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007355A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28203711A) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2024-04-24 |