| NPI | 1609225580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006434A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28229757A) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2021-02-24 |