| NPI | 1417601832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012196A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28241090A) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-05-05 |