| NPI | 1932472032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003881A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28199857A) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2020-12-08 |