| NPI | 1225402233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 71005869A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005869A) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2023-01-04 |