| NPI | 1346914884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011773A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 71011773A) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: IL 209.023477) | |
| Enumeration Date | 2021-08-08 |
| Last Update Date | 2023-07-24 |