| NPI | 1811392129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28090769) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 28090769A) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2020-10-01 |