| NPI | 1033734645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013715A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ F06200050) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2023-09-28 |