| NPI | 1225565518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007445A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28184931A) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2021-03-01 |