| NPI | 1205220290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005436A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28155395A) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2024-02-01 |