| NPI | 1861027641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012546A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN F1190333) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2022-06-09 |