| NPI | 1740603810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004773A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004773A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28168308A) | |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2023-09-26 |