| NPI | 1205483104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010180A) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: IN 28121760A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28121760A) | |
| Enumeration Date | 2019-08-25 |
| Last Update Date | 2023-09-14 |