| NPI | 1639821622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012509A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28210820A) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-04-25 |