| NPI | 1346883030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012500A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28195199A) |
| 363L00000X Nurse Practitioner (Licence: IN 71012500A) | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2024-02-14 |