| NPI | 1912428798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009593A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28164946A) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201703152NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71009593B) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-21 |