| NPI | 1063819993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005423A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28098686A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71005423A) | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2021-05-07 |