| NPI | 1376192336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009504A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28225202A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3013856) | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-10-18 |