| NPI | 1457804023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006521A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28196793A) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2023-02-06 |