| NPI | 1710067830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28113526A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005025A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005025B) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-03-28 |