| NPI | 1700336799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006684A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28156911A) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2020-12-28 |