| NPI | 1750968160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011299A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28243190A) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2022-01-24 |