| NPI | 1376295089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012781A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28174442A) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-07-14 |