| NPI | 1962879155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005777A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F07151279) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2021-07-21 |