| NPI | 1568882231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004911A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28196498A) |
| 363L00000X Nurse Practitioner (Licence: IN 71004911A) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2024-04-03 |