| NPI | 1558879056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008218) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28185241a) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2019-11-06 |