| NPI | 1245795392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008851A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28211985A) |
| Enumeration Date | 2019-02-03 |
| Last Update Date | 2024-09-18 |