| NPI | 1225689169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009574A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 28237203) |
| 363L00000X Nurse Practitioner (Licence: IN 71009574A) | |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2023-06-01 |