| NPI | 1720218696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003116A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 2009010028) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2023-09-06 |