| NPI | 1619454188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008258A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28197047A) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2023-07-07 |