| NPI | 1306402383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009151A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28158271A) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2021-09-08 |