| NPI | 1396414330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011571A) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2024-05-15 |