| NPI | 1215336219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005110A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28154100A) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2023-04-19 |