| NPI | 1003614538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71016437A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28157665A) |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-05-29 |