| NPI | 1972526499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001952A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001952A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28142046A) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-02-03 |