| NPI | 1972278547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011712A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28164893A) |
| Enumeration Date | 2021-08-15 |
| Last Update Date | 2021-10-20 |