| NPI | 1801325584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007400A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28207483A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007400A) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-10-10 |