| NPI | 1336745504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010743A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28149680A) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704369267) | |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2023-02-21 |