| NPI | 1467921759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008652A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28087283A) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2021-08-25 |