| NPI | 1063172484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012050A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F02210591) |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2022-05-05 |