| NPI | 1629463716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005464A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28200665A) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2022-11-21 |