| NPI | 1285109413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008608A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28203001A) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2023-08-14 |