| NPI | 1164940177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007585A) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28185347A) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2021-08-20 |