| NPI | 1124546767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007446A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28238899A) |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2024-06-03 |