| NPI | 1104411875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014120A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001980) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2023-08-07 |