| NPI | 1114499654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008864A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28201393A) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2023-07-06 |