| NPI | 1164030144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010206A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28261221A) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704246580NSA200EI) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2022-10-27 |