| NPI | 1780020750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004438A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28168118A) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2021-06-11 |