| NPI | 1831682095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28153215A) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71007705A) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2020-08-11 |