| NPI | 1831735539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009571A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28153854A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71009571B) | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2023-10-12 |