| NPI | 1093252504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007551A) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: IN 28147370A) |
| 363L00000X Nurse Practitioner (Licence: IN 71007551A) | |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2024-02-07 |