| NPI | 1720675010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71010676A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71010676B) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2022-10-27 |