| NPI | 1730787599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011624A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28222257A) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2024-01-17 |