| NPI | 1912527516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010324A) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28116988A) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-12-15 |