| NPI | 1568961902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008125A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28214912A) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2023-08-03 |