| NPI | 1861168700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011698A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28220125A) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-10-12 |