| NPI | 1700428836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009511A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28247628A) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2020-09-04 |