| NPI | 1932868486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012983A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28216430A) |
| 183700000X Pharmacy Technician (Licence: IN 67008022A) | |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2022-08-26 |