| NPI | 1225510951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008563A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28150593A) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2020-01-06 |