| NPI | 1972104461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010653A) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28182943A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71010653A) | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2024-03-04 |