| NPI | 1316312275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006041A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28181093A) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2021-06-14 |