| NPI | 1629265483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9774) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002489A) |
| 363L00000X Nurse Practitioner (Licence: IN 71002489A) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2022-07-21 |