| NPI | 1710419858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007229A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28196802A) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2018-12-20 |