| NPI | 1679058762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008462A) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IN 28193580A) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2024-04-29 |