| NPI | 1568065258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010706A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F06201190) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2021-04-05 |