| NPI | 1487148946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009980A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9465761) |
| 363L00000X Nurse Practitioner (Licence: IN 71009980A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 0000000) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-07-09 |