| NPI | 1083208524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011172A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28238646A) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-06-16 |