| NPI | 1114443405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007484A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28161105A) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2021-12-08 |