| NPI | 1104418904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010954A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28183194A) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-01-29 |