| NPI | 1164963005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008959A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77588-012) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71008959A) | |
| Enumeration Date | 2017-03-11 |
| Last Update Date | 2023-07-31 |