| NPI | 1164957338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71007401A) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28179003A) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2020-12-03 |