| NPI | 1750863841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008535A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28198322A) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-11-23 |