| NPI | 1669029500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010981A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28150500A) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-08-09 |