| NPI | 1184378432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012240A) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: IN 28148110A) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-06-07 |