| NPI | 1720604440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012611A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23982) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2022-09-06 |