| NPI | 1184261166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009649A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28156612A) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2022-05-23 |