| NPI | 1578008553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007193A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28172708A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007193A) | |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2022-10-20 |