| NPI | 1275969701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004656A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F0613919) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2022-12-19 |