| NPI | 1184105355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28157932a) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008396A) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2021-03-31 |