| NPI | 1659917771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009631A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F08190482) |
| Enumeration Date | 2019-11-24 |
| Last Update Date | 2020-09-28 |