| NPI | 1720733447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012328A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28158723A) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-03-02 |