| NPI | 1225701741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71011433A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN F01210873) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-08-23 |