| NPI | 1093599276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014255A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 28179813A) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-12-04 |