| NPI | 1568006856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013398A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R237002) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2022-12-16 |