| NPI | 1780921296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004332A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71004332A) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2021-07-14 |