| NPI | 1457967945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010500A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28209698A) |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2023-09-18 |