| NPI | 1043982010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011745A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28255541A) |
| 207Q00000X Family Medicine (Licence: MN 12770) | |
| 207Q00000X Family Medicine (Licence: MO 2025023628) | |
| 207Q00000X Family Medicine (Licence: CA 95033449) | |
| 207Q00000X Family Medicine (Licence: NM 81154) | |
| 207Q00000X Family Medicine (Licence: OR 10031475) | |
| 207Q00000X Family Medicine (Licence: AZ 316539) | |
| 207Q00000X Family Medicine (Licence: UT 14130605-4405) | |
| 207Q00000X Family Medicine (Licence: WA AP61602986) | |
| 207Q00000X Family Medicine (Licence: MT 243693) | |
| 207Q00000X Family Medicine (Licence: HI 4853-0) | |
| 207Q00000X Family Medicine (Licence: WY 57725) | |
| 207Q00000X Family Medicine (Licence: AK 228550) | |
| 207Q00000X Family Medicine (Licence: IL 209030892) | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2025-10-10 |