| NPI | 1477223261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011629A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28184592A) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2022-07-14 |