| NPI | 1023619947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014934A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28196395A) |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2024-02-15 |