| NPI | 1811490519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008223A) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IN 28169473A) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2021-03-18 |