| NPI | 1891190484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005195A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005195A) |
| Enumeration Date | 2014-10-26 |
| Last Update Date | 2021-05-17 |