| NPI | 1316363377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004877A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28153768a) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2023-06-13 |