| NPI | 1154925634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010692A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28223408A) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2021-12-15 |