| NPI | 1902254733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006391A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28113094A) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2022-01-24 |