| NPI | 1295397206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009578A) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704267670) |
| 163WG0000X Registered Nurse, General Practice (Licence: IN 28165052A) | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2023-03-07 |