| NPI | 1730603937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007428A) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28162734A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007428A) | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-12-13 |