| NPI | 1639652498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008310A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 32575) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2023-11-01 |