| NPI | 1700307832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008697A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 281982185A) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-06-01 |