| NPI | 1790205292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007325A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28187239A) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2021-06-09 |