| NPI | 1265802409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005886A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 01040289A) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71005886A) | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2016-01-04 |