| NPI | 1649795766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007561A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28218849A) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2023-08-14 |