| NPI | 1720502057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010998A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0993200) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2021-10-02 |