| NPI | 1902345879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007043A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28123070A) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2020-02-28 |