| NPI | 1174029789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008456A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 28150408A) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2022-04-13 |