| NPI | 1962740886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004301A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004301B) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28192926A) | |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2021-12-29 |