| NPI | 1891028833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003055A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28090074A) |
| 363L00000X Nurse Practitioner (Licence: IN 71003055A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71003055B) | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2021-03-25 |