| NPI | 1679020119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006583A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28231893A) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-11-15 |