| NPI | 1790171015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005917A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28191072A) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2021-03-30 |