| NPI | 1477011484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008993A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008993A) |
| 163W00000X Registered Nurse (Licence: IN 28204664A) | |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-07-24 |