| NPI | 1740604479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004806A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004806A) |
| 363L00000X Nurse Practitioner (Licence: IN 71004806) | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2022-10-18 |