| NPI | 1578209961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012703A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 2816869A) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-07-04 |