| NPI | 1346951795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013706A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018750) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2023-03-21 |