| NPI | 1548763576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007844A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 71007844A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007844A) | |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2019-10-01 |